Achilles Tendon Ruptures

8 Questions

Which age group is most likely to experience tendon rupture?

Adults over 40 years old

What activity can lead to tendon rupture?

Running or jumping

How does the patient feel after a tendon rupture?

Feeling struck just above the heel

What can be observed and felt in a patient with a tendon rupture?

A gap about 5 cm above the tendon insertion

What happens to the foot during the Simmonds' test if the tendon is intact?

The foot plantarflexes involuntarily

What is the initial treatment for a tendon rupture if the patient is seen early?

Application of a plaster cast for 8 weeks

How long should a patient wear a shoe with a raised heel after a tendon rupture?

6 weeks

Is operative repair necessary for a tendon rupture?

It depends on the severity of the rupture

Study Notes

Tendon Rupture

Middle-aged individuals are more likely to experience tendon rupture.

Causes of Tendon Rupture

Sudden, violent, or uncontrolled movements, such as those experienced during sports, can lead to tendon rupture.

Symptoms of Tendon Rupture

After a tendon rupture, the patient may feel a sudden, severe pain, often accompanied by an audible snapping sound.

Physical Examination of Tendon Rupture

On physical examination, a palpable defect or gap may be felt in the tendon, and swelling is often present.

Simmonds' Test

During the Simmonds' test, if the tendon is intact, the foot will invert when the calf muscles are contracted.

Initial Treatment of Tendon Rupture

If seen early, the initial treatment for a tendon rupture typically involves non-surgical methods, such as immobilization and elevation.

Post-Injury Care

After a tendon rupture, patients are advised to wear a shoe with a raised heel for 6-8 weeks.

Operative Repair

Operative repair may not be necessary for a tendon rupture, especially if treated promptly and conservatively.